HomeMy Public PortalAbout5817 ROWLAND AVE_Plumbing__ '6A557 -
>BS-17 10.55 APPLICATION FOR PLUMBING PERMIT
- DIVISION OF BUILDING AND SAFETY'
Department of County Engineer
County of Los Angeles BUILDING r
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUP'T OF BUILDING
•r LOCALITY
FOR APPLICANT TO FILL IN NEAREST OC
CROSS ST.
OWNER DISTRIr GR E READY FOR INSPECTION
MAIL
ADDRESS
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INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBE G� 0& INSPECTION RECORD
ADDRESS Ar 'k
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CITY TEL.NO a�3 7 '_� C Q k'`i� T4s e^A 1 CO.
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LICENSE NO. f .. ' e A/1tr_A 1Id
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) ' @ $1.00 $ 00 TAz
BATH TUB @ $1.00.
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00OZ O
KITCHEN SINK @ •$.1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHESWASHER @ $1.00 Bib
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 O44•.
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK 1
PERMIT $ I 00 ,c ROUGH PLUMBING (� fj(: •A�„
i. GAS PIPING '
TOTAL FEE ®.b GAS VENT
I HEREBY ACKNOWLEDGE THAT 'I HAVE READ THIS APPLICATION HOT WAITER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1 PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM :PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND. STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER-OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENJ'A TY.
SIGNATURE C U
OF PERMITTED FINAL
Y r
IOHN A.L.AMBIE,Cowry ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. M.D. CASH
l 1395 ocT16 3 SQ®
r
+COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0908310013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 6561 LT: 408 UN: .002I 1 5817 ROWLAND AV 1
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802239 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18587-030-004 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1
TENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
125 LAVATORIES/SINKS 2.00 FIX 32.40 08/31/09 SR 08/31/10 ]
145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 1
1OWNER: TEL. NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 JFIJTALPATE FINAL BY: CODE:
IYUNG, BENSON (626) 286-8618- 1 TOTAL FEES 124.95
15 817 ROWLAND AVE. I
ITEMPLE CITY CA 91780 1 IDESCRIPTION OF WORK 1
I I IPLUMBING FOR NEW BATHROOM AND RELOCATE KITCHEN 1
1APPLICANT: TEL. NO: 1 I I
ICHEN (626) 288-5568- I I I
1642 E. DEWEY AVENUE I ISPECIAL CONDITIONS: 1
SAN GABRIEL CA 91776 1
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECThR SIGNATURE 1
IFRANK CHANG-TEH CHU (909) 861-1388- 1 1 1
11057 JASON PL LIC. NO I 1UNDER SLAB WORK 1
]DIAMOND BAR CA 91965 B,C36 * 1 I 1 I
1 1 IWATER SERVICE 1 I
I I 1PLASTIC YIN METAL YIN 1 I 1
1ARCHITECT OR ENGINEER: TEL. NO: I 1 I
ICHEN, MICHAEL T (626) 288-5568- 1 IROUGH PLUMBING 1
1642 E DEWY AVE LIC. NO: 1 71
ISAN GABRIEL, CA 91776 B,C36 * * I GAS PIPING Ir-�ir
I (GAS VENT
I 1 IHOT WATER HEATER 1 I 1
1 I 1PLUMBING FIXTURES 1 I
ILAWN SPRINKLERS
1 I 1GAS TEST ] I
I I 1 ] 1
I ] ]UTILITY COMPANY NOTIFIED(
I ] 1CWV I I I
1 I IGRAY WATER SYSTEM 1 1
I I I I I I
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1 1* ADDITIONAL DATA ON FILE 1 1 1 1
I I I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 1
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